Journal Information
Vol. 17. Issue 4.
Pages 351-356 (January 2006)
Share
Share
Download PDF
More article options
Vol. 17. Issue 4.
Pages 351-356 (January 2006)
Obliteración del seno frontal mediante injerto de tibia y plasma rico en plaquetas para el tratamiento de la osteomielitis crónica
Frontal sinus obliteration using tibial bone graft and platelet-rich plasma for the treatment of chronic osteomyelitis
Visits
1617
M. Acosta-Feria
, P. Infante-Cossío, J.M. Hernández-Guisado, E. Torres-Carranza, A. García-Perla, R. Belmonte-Caro, J.L. Gutiérrez-Pérez
Servicio de Cirugía Maxilofacial. Hospitales Universitarios Virgen del Rocío. Sevilla
This item has received
Article information
Resumen
Objetivos

La técnica quirúrgica más eficaz en el tratamiento de la sinusitis frontal crónica complicada con una osteomielitis crónica, incluye la limpieza y legrado del seno, y la obliteración de los espacios muertos y sellado del ostium del seno frontal. Existen varios materiales autólogos y aloplásticos usados para la obliteración sinusal.

Material y métodos

Paciente intervenido de un plasmocitoma localizado en el seno frontal, que desarrolló una sinusitis frontal complicada con una osteomielitis crónica con fistulización y supuración cutánea. Se trató mediante un legrado de la cavidad del seno frontal y obliteración con injerto esponjoso de tibia y plasma rico en plaquetas (PRP).

Conclusiones

La obliteración tras limpieza y legrado del seno frontal es un tratamiento efectivo para la osteomielitis crónica sinusal. Tras la intervención quirúrgica, se comprobó la desaparición de los síntomas de nuestro paciente. No hubo recidiva de la enfermedad ni complicaciones postoperatorias. El uso de injerto óseo de tibia y PRP puede ser una alternativa eficaz a los materiales existentes para dicha obliteración.

Palabras clave:
Seno frontal
Obliteración
Osteomielitis crónica
Tibia
Injerto óseo
Plasma rico en plaquetas
Summary
Objetives

The more successfully surgical treatment for the treatment of chronic frontal sinusitis complicated with chronic osteomielitis, is the cleaning and curettage of the sinus with obliteration of the sinus cavity and nasofrontal duct. Several autologous and alloplastics materials are used for this obliteration.

Material and methods

We report the case of a patient previously operated on because of frontal sinus plasmocytoma who developed frontal sinusitis with chronic osteomielitis and cutaneous suppuration. He received surgical treatment with frontal sinus curettage and obliteration with tibial bone graft and platelet-rich plasma (PRP). Symptoms disappeared and there were no complications or recurrence.

Conclusions

Obliteration of the frontal sinus with tibial bone graft and PRP after sinus cleaning and curettage can be a good alternative in the treatment of chronic frontal sinus osteomielitis.

Key words:
Frontal Sinus
Obliteration
Chronic Osteomyelitis
Tibia
Bone graft
Platelet-rich plasma

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?